Healthcare Provider Details

I. General information

NPI: 1881291540
Provider Name (Legal Business Name): VALERIA LOZADA MIRANDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL UNIVERSITARIO CENTRO MEDICO
SAN JUAN PR
00921
US

IV. Provider business mailing address

HOSPITAL UNIVERSITARIO CENTRO MEDICO
SAN JUAN PR
00921
US

V. Phone/Fax

Practice location:
  • Phone: 787-777-3535
  • Fax:
Mailing address:
  • Phone: 787-751-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number23732
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number35615
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: